Personal Information / Contact Details

Full Name

Full Address

Primary Telephone



Secondary Telephone



Email Address

Preferred Method of Contact

Primary TelephoneSecondary TelephoneEmail

Current Occupation/

Area of study (i.e. work, high school, College, University, and program)

WorkStudentRetiredHome Maker


If you selected work:

What area do you work in?

Your Back-up Contact's Details


Relationship to you:

Primary Telephone:  HomeMobileWork
Secondary Telephone:  HomeMobileWork


Volunteer Area of Interest

Please select an area you would like to help the Syrian family and rank according to interest (i.e. 1st choice, 2nd choice, etc.)


Trauma Counselling

Medical care

Home furnishing/repairs

ESL classes


Govt. Registrations

Job searching


Please outline any experience/volunteer work/qualifications/hobbies/interests relevant to the volunteer role(s) chosen.



Please indicate your availability


Times Available: 

How many hours per week can you volunteer? 

Why are you interested in becoming a Volunteer to help a Syrian Refugee Family?

Where did you hear about our volunteer opportunities?

Privacy Statement

The personal information on this form is being collected for the purposes of recruiting and selecting volunteers wishing to help settle a Syrian Refugee family. The information may also be required for evaluation purposes.

By signing this form I verify that the information supplied is true and accurate. I understand that submitting this volunteer application form does not automatically guarantee me a volunteer position, but that a selection process including completion of a full volunteer package for each selected volunteer role must be passed. I hereby understand and agree that I am not a paid employee and must abide by the organizations code of conduct, rules, regulations and policies while working as a volunteer.

Volunteer Signature:

Date (YYYY/MM/DD): 

Parent/Guardian Signature required for Volunteers Under the age of 16

By signing this Volunteer Application, I the parent/legal guardian grant permission for my child to work as a volunteer to help settle a Syrian Refugee Family and understand the obligations as aforementioned.

Volunteer Signature:

Date (YYYY/MM/DD): 

Please check the box below